| NPI | 1629710850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03232891) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS59227) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |